Healthcare Provider Details

I. General information

NPI: 1699948166
Provider Name (Legal Business Name): MEDFORD VISITING NURSING ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 BROADWAY
ARLINGTON MA
02474-5552
US

IV. Provider business mailing address

37 BROADWAY
ARLINGTON MA
02474-5552
US

V. Phone/Fax

Practice location:
  • Phone: 781-643-6090
  • Fax: 781-643-7395
Mailing address:
  • Phone: 781-643-6090
  • Fax: 781-643-7395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KIM AROUTH
Title or Position: CEO
Credential: RN
Phone: 781-350-5610